Health Care Programs

Medicare

Enrollment, Utilization, and Reimbursement

Table 8.B0 Medicare Part A (Hospital Insurance) and/or Part B (Supplementary Medical Insurance): Total persons enrolled, served, and amount reimbursed, by type of coverage and service, selected years 1990–2007

Type of coverage and service

1990

1995

2000

2005

2006

2007

Persons enrolled (fee-for-service and managed care) (thousands)

Hospital Insurance and/or Supplementary Medical Insurance

34,203

37,535

39,632

42,500

43,339

44,263

Hospital Insurance

33,719

37,135

39,211

42,129

42,975

43,910

Supplementary Medical Insurance

32,629

35,685

37,369

39,730

40,398

41,109

Persons enrolled (fee-for-service only) (thousands)

Hospital Insurance and/or Supplementary Medical Insurance

--

--

32,740

36,685

35,847

35,490

Hospital Insurance

--

--

32,329

36,318

35,488

35,141

Supplementary Medical Insurance

--

--

30,478

33,916

32,908

32,338

Persons served (thousands) a

Hospital Insurance and/or Supplementary Medical Insurance

27,099

30,423

29,583

33,506

33,063

32,406

Hospital Insurance

7,036

8,036

7,325

8,307

8,120

7,952

Inpatient hospital

6,543

6,964

6,917

7,710

7,467

7,254

Skilled nursing services

638

1,233

1,468

1,847

1,838

1,828

Home health services b

1,936

3,427

1,444

1,752

1,714

1,705

Hospice services

--

--

541

871

939

995

Supplementary Medical Insurance

26,951

30,249

29,313

33,201

32,732

32,040

Physicians' and other medical services

26,350

26,539

28,763

32,709

32,205

31,481

Outpatient services

15,511

19,709

21,029

24,423

24,010

23,587

Home health services b

38

41

1,190

1,370

1,460

1,553

Persons served per 1,000 enrollees

Hospital Insurance and/or Supplementary Medical Insurance

792

811

904

913

922

913

Hospital Insurance

209

216

227

229

229

226

Inpatient hospital

194

188

214

212

210

206

Skilled nursing services

19

33

45

51

52

52

Home health services b

57

92

45

48

48

49

Hospice services

--

--

17

24

26

28

Supplementary Medical Insurance

826

848

962

979

995

991

Physicians' and other medical services

808

744

944

964

979

974

Outpatient services

475

552

690

720

730

729

Home health services b

1

1

39

40

44

48

Amount reimbursed (millions of dollars)

Hospital Insurance and/or Supplementary Medical Insurance

101,419

158,980

174,261

274,143

280,672

288,504

Hospital Insurance

62,347

101,835

101,663

149,392

151,917

155,785

Inpatient hospital

56,716

78,944

85,197

116,647

116,350

116,922

Skilled nursing services

1,971

7,799

10,621

18,964

20,387

22,261

Home health services b

3,660

15,092

2,918

5,916

5,979

6,275

Hospice services

--

--

2,927

7,864

9,201

10,327

Supplementary Medical Insurance

39,072

57,145

72,599

124,752

128,755

132,719

Physicians' and other medical services

30,222

41,617

51,474

83,838

85,305

85,694

Outpatient services

8,773

15,328

16,787

33,931

35,411

37,560

Home health services b

78

200

4,338

6,982

8,039

9,465

Amount reimbursed per person served (dollars)

Hospital Insurance and/or Supplementary Medical Insurance

3,743

5,226

5,891

8,182

8,489

8,903

Hospital Insurance

8,862

12,672

13,878

17,984

18,709

19,592

Inpatient hospital

8,668

11,336

12,318

15,130

15,581

16,118

Skilled nursing services

3,092

6,325

7,235

10,267

11,093

12,176

Home health services b

1,890

4,403

2,021

3,377

3,489

3,680

Hospice services

--

--

5,409

9,027

9,796

10,378

Supplementary Medical Insurance

1,450

1,889

2,477

3,757

3,634

4,142

Physicians' and other medical services

1,147

1,409

1,709

2,563

2,649

2,722

Outpatient services

566

778

798

1,389

1,475

1,592

Home health services b

2,031

4,837

3,644

5,098

5,508

6,095

Amount reimbursed per enrollee (dollars)

Hospital Insurance and/or Supplementary Medical Insurance

2,965

4,236

5,323

7,473

7,830

8,129

Hospital Insurance

1,849

2,742

3,145

4,113

4,281

4,433

Inpatient hospital

1,682

2,126

2,635

3,212

3,279

3,327

Skilled nursing services

58

210

329

522

574

633

Home health services b

109

406

90

163

168

179

Hospice services

--

--

91

217

259

294

Supplementary Medical Insurance

1,197

1,601

2,382

3,678

3,913

4,104

Physicians' and other medical services

926

1,166

1,689

2,472

2,592

2,650

Outpatient services

269

430

551

1,000

1,076

1,162

Home health services b

2

6

142

206

244

293

SOURCE: Centers for Medicare & Medicaid Services.

NOTES: Measurement of the use of services represents those persons receiving a reimbursed service under the original (or fee-for-service) Medicare plan. Amount reimbursed represents payments recorded on fee-for-service claims only and excludes nonbilling reimbursements, such as end-of-year cost settlements and premiums paid to managed care plans. For all years, total enrollment as of July 1 in the original (or fee-for-service) Medicare program as well as those enrolled in alternative prepaid plans, such as Medicare managed care, are shown. Beginning in 2000, data for the original fee-for-service enrollment population are shown separately, as they provide a more accurate population for denominators for computing persons served per 1,000 enrollees and average fee-for-service reimbursement per enrollee.

Characterizations of persons enrolled and persons served may differ slightly from those in other tables in this section because of differences in sources and methodology.

-- = not available.

a. Does not reflect beneficiaries who received covered services, but for whom no program payments were reported. Totals by type of service do not equal the sum of components because one beneficiary may have used several types of services.

b. The Balanced Budget Act of 1997, enacted on August 5, 1997, specified that, effective January 1998, coverage for the majority of home health services not associated with a hospital or skilled nursing facility will be transferred from the Hospital Insurance (HI) program to the Supplementary Medical Insurance (SMI) program. The HI program will cover the first 100 home health agency visits following a hospital or skilled nursing facility stay of at least 3 days. From July 1981 to December 1997, home health agency services were almost exclusively provided by the HI program. For more information, refer to the 1998 HI and SMI trust fund reports.

NOTES: Measurement of the use of services represents those persons receiving a reimbursed service under the original (or fee-for-service) Medicare plan. Amount reimbursed represents payments recorded on fee-for-service claims only and excludes nonbilling reimbursements, such as end-of-year cost settlements and premiums paid to managed care plans. For all years, total enrollment as of July 1 in the original (or fee-for-service) Medicare program as well as those enrolled in alternative prepaid plans, such as Medicare managed care, are shown. Beginning in 2000, data for the original fee-for-service enrollment population are shown separately, as they provide a more accurate population for denominators for computing persons served per 1,000 enrollees and average fee-for-service reimbursement per enrollee.

Characterizations of persons enrolled and persons served may differ slightly from those in other tables in this section because of differences in sources and methodology.

-- = not available.

a. Does not reflect beneficiaries who received covered services, but for whom no program payments were reported. Totals by type of service do not equal the sum of components because one beneficiary may have used several types of services.

b. The Balanced Budget Act of 1997, enacted on August 5, 1997, specified that, effective January 1998, coverage for the majority of home health services not associated with a hospital or skilled nursing facility will be transferred from the Hospital Insurance (HI) program to the Supplementary Medical Insurance (SMI) program. The HI program will cover the first 100 home health agency visits following a hospital or skilled nursing facility stay of at least 3 days. From July 1981 to December 1997, home health agency services were almost exclusively provided by the HI program. For more information, refer to the 1998 HI and SMI trust fund reports.

NOTES: Measurement of the use of services represents those persons receiving a reimbursed service under the original (or fee-for-service) Medicare plan. Amount reimbursed represents payments recorded on fee-for-service claims only and excludes nonbilling reimbursements, such as end-of-year cost settlements and premiums paid to managed care plans. For all years, total enrollment as of July 1 in the original (or fee-for-service) Medicare program as well as those enrolled in alternative prepaid plans, such as Medicare managed care, are shown. Beginning in 2000, data for the original fee-for-service enrollment population are shown separately, as they provide a more accurate population for denominators for computing persons served per 1,000 enrollees and average fee-for-service reimbursement per enrollee.

Characterizations of persons enrolled and persons served may differ slightly from those in other tables in this section because of differences in sources and methodology.

-- = not available.

a. Does not reflect beneficiaries who received covered services, but for whom no program payments were reported. Totals by type of service do not equal the sum of components because one beneficiary may have used several types of services.

b. Revised data.

c. The Balanced Budget Act of 1997, enacted on August 5, 1997, specified that, effective January 1998, coverage for the majority of home health services not associated with a hospital or skilled nursing facility will be transferred from the Hospital Insurance (HI) program to the Supplementary Medical Insurance (SMI) program. The HI program will cover the first 100 home health agency visits following a hospital or skilled nursing facility stay of at least 3 days. From July 1981 to December 1997, home health agency services were almost exclusively provided by the HI program. For more information, refer to the 1998 HI and SMI trust fund reports.

Table 8.B3a Medicare Part A (Hospital Insurance) and/or Part B (Supplementary Medical Insurance): Number of fee-for-service and managed care enrollees aged 65 or older, by census division and state or other area, July 1, 1990–2008, selected years (in thousands)

Census division and state or area

1990

2000

2007

2008

Total

Fee for service

Managed care

Total

Fee for service

Managed care

Total

Fee for service

Managed care

Total

Fee for service

Managed care

Total

All areas

30,939

30,255

684

34,247

27,840

6,407

36,966

29,172

7,794

37,896

28,961

8,935

United States a

30,341

29,657

684

33,540

27,137

6,403

36,145

28,619

7,526

37,053

28,405

8,648

New England

1,733

1,719

15

1,836

1,449

387

1,883

1,592

290

1,925

1,586

339

Connecticut

436

434

2

457

356

101

464

411

53

474

401

73

Maine

165

165

b

180

178

2

195

189

6

200

187

13

Massachusetts

795

786

9

828

601

227

828

660

168

845

663

182

New Hampshire

126

126

b

147

145

2

168

162

6

174

164

10

Rhode Island

145

141

3

148

94

54

144

87

56

146

88

58

Vermont

67

67

b

76

76

b

84

82

2

86

83

3

Middle Atlantic

5,082

4,945

137

5,263

4,078

1,186

5,335

3,973

1,362

5,421

3,879

1,542

New Jersey

1,006

977

29

1,067

905

162

1,090

982

109

1,112

991

122

New York

2,279

2,199

80

2,334

1,871

463

2,390

1,761

630

2,429

1,724

705

Pennsylvania

1,798

1,769

29

1,863

1,302

561

1,855

1,231

624

1,880

1,164

716

East North Central

5,223

5,153

70

5,541

4,948

593

5,791

4,900

891

5,907

4,709

1,198

Illinois

1,401

1,377

24

1,435

1,263

172

1,486

1,357

129

1,514

1,369

145

Indiana

685

673

12

735

703

32

782

698

84

800

691

109

Michigan

1,101

1,100

1

1,201

1,128

73

1,268

1,046

222

1,298

978

320

Ohio

1,387

1,364

22

1,478

1,206

272

1,523

1,230

293

1,550

1,122

427

Wisconsin

649

639

10

693

649

43

731

568

163

746

549

197

West North Central

2,423

2,350

74

2,518

2,252

266

2,623

2,154

469

2,669

2,130

539

Iowa

422

412

10

426

410

16

434

381

53

438

384

55

Kansas

337

333

5

347

319

28

352

323

29

356

322

35

Minnesota

544

500

44

582

496

86

629

419

210

645

401

244

Missouri

706

692

14

736

612

124

771

631

140

786

627

159

Nebraska

221

220

1

227

217

10

232

209

23

234

207

27

North Dakota

91

91

1

93

92

1

93

86

6

93

86

7

South Dakota

102

102

b

106

106

1

113

105

8

115

103

12

South Atlantic

5,534

5,473

61

6,430

5,510

920

7,170

5,966

1,203

7,394

6,002

1,392

Delaware

80

80

b

98

93

5

114

110

3

118

113

5

District of Columbia

71

68

2

65

59

6

63

57

6

63

56

7

Florida

2,174

2,158

15

2,507

1,815

692

2,706

2,017

690

2,778

2,012

766

Georgia

636

635

b

752

702

50

887

788

99

922

799

123

Maryland

496

492

4

571

504

67

622

583

39

640

593

47

North Carolina

786

785

2

941

897

44

1,084

920

164

1,122

932

191

South Carolina

383

383

b

464

463

2

551

496

55

574

499

75

Virginia

645

636

9

762

730

32

865

782

84

895

788

107

West Virginia

264

236

28

270

247

23

277

214

63

281

210

71

East South Central

1,886

1,868

18

2,061

1,930

131

2,255

1,930

325

2,313

1,915

398

Alabama

508

503

4

558

507

51

601

514

88

616

499

116

Kentucky

459

448

11

491

460

31

533

469

65

546

466

79

Mississippi

313

313

b

330

325

5

352

326

26

359

329

31

Tennessee

607

604

3

682

638

44

769

622

146

792

621

171

West South Central

2,879

2,875

4

3,276

2,754

522

3,622

3,078

544

3,722

3,085

638

Arkansas

343

342

1

359

342

17

383

345

38

391

345

46

Louisiana

460

460

b

497

404

93

507

409

98

518

402

116

Oklahoma

412

411

1

438

388

50

463

403

60

471

405

67

Texas

1,665

1,662

2

1,982

1,620

362

2,269

1,920

349

2,341

1,933

408

Mountain

1,489

1,452

38

1,914

1,400

514

2,279

1,625

654

2,362

1,642

720

Arizona

456

436

19

596

371

225

709

463

247

735

471

264

Colorado

324

312

11

403

253

151

477

320

157

495

327

169

Idaho

121

121

1

145

129

16

174

135

39

180

133

47

Montana

106

105

b

119

118

b

133

116

17

137

115

21

Nevada

128

127

1

212

139

73

270

185

85

281

191

90

New Mexico

160

158

2

200

159

41

234

179

55

241

181

60

Utah

147

145

2

183

176

7

218

167

51

227

161

65

Wyoming

47

47

b

57

56

2

64

61

3

65

62

4

Pacific

4,081

3,813

267

4,692

2,808

1,884

5,183

3,397

1,786

5,335

3,452

1,883

Alaska

22

22

b

35

35

b

46

46

b

49

48

b

California

2,989

2,750

239

3,430

1,947

1,483

3,750

2,389

1,360

3,855

2,434

1,420

Hawaii

118

114

4

151

98

53

168

103

66

173

104

69

Oregon

390

371

19

433

260

173

484

283

201

498

287

211

Washington

562

556

6

643

468

175

735

576

159

760

579

181

Unknown

10

10

b

9

8

1

4

4

b

4

4

b

Outlying areas

Puerto Rico

337

337

b

401

400

1

466

201

265

478

195

283

U.S. Virgin Islands

6

6

b

9

9

b

12

12

b

13

13

b

Other

b

b

b

9

9

b

13

13

b

13

13

b

Foreign countries

255

254

b

288

285

3

331

328

3

339

336

3

SOURCE: Centers for Medicare & Medicaid Services.

NOTES: Characterization of persons enrolled may differ slightly from that in other tables on enrollment, and in prior editions of this table, because of differences in sources and methodology.

Totals do not necessarily equal the sum of rounded components.

a. Represents beneficiaries of the 50 states and the District of Columbia and beneficiaries with unknown residence.

Table 8.B3b Medicare Part A (Hospital Insurance) and/or Part B (Supplementary Medical Insurance): Number of fee-for-service and managed care disabled enrollees, by census division and state or other area, July 1, 1990–2008, selected years (in thousands)

Census division and state or area

1990

2000

2007

2008

Total

Fee for service

Managed care

Total

Fee for service

Managed care

Total

Fee for service

Managed care

Total

Fee for service

Managed care

Total

All areas

3,260

3,238

22

5,373

4,913

460

7,297

6,318

979

7,516

6,359

1,157

United States a

3,154

3,132

22

5,219

4,759

459

7,120

6,228

892

7,336

6,271

1,065

New England

156

156

b

284

265

19

379

362

17

390

368

22

Connecticut

33

33

b

57

53

4

73

69

4

75

69

6

Maine

18

18

b

36

36

b

51

51

1

53

52

1

Massachusetts

72

72

b

131

120

11

169

162

6

174

166

7

New Hampshire

11

11

b

23

23

b

36

35

1

38

37

1

Rhode Island

14

14

b

24

20

4

31

26

5

32

26

6

Vermont

7

7

b

13

13

b

18

18

b

19

18

b

Middle Atlantic

474

470

4

729

655

73

946

780

166

974

783

190

New Jersey

86

85

1

133

124

9

167

156

10

170

158

12

New York

230

228

2

366

334

31

450

387

63

462

385

77

Pennsylvania

158

157

1

230

197

33

329

237

92

341

241

101

East North Central

562

560

2

823

773

50

1,091

1,006

85

1,126

1,013

113

Illinois

132

132

1

195

180

15

255

239

16

260

241

19

Indiana

77

76

1

117

114

3

159

148

11

165

150

14

Michigan

132

132

b

200

193

7

272

256

17

282

256

26

Ohio

156

155

1

221

199

23

282

252

30

291

254

37

Wisconsin

64

64

b

90

88

2

124

111

13

128

112

16

West North Central

212

210

2

339

324

14

466

429

37

480

436

45

Iowa

34

34

b

50

49

1

66

61

5

68

63

5

Kansas

26

26

b

43

42

2

60

56

3

62

58

4

Minnesota

44

44

b

72

70

1

100

91

10

104

92

12

Missouri

75

75

1

124

115

10

175

160

15

180

162

18

Nebraska

16

16

b

26

26

1

36

33

3

37

34

3

North Dakota

7

7

b

10

10

b

13

12

1

13

12

1

South Dakota

8

8

b

13

13

b

16

16

1

17

16

1

South Atlantic

608

604

4

1,082

998

84

1,475

1,285

190

1,511

1,281

230

Delaware

8

8

b

15

14

b

23

22

1

23

22

1

District of Columbia

7

7

b

10

9

b

12

11

b

12

11

1

Florida

165

165

1

316

253

63

426

340

86

434

332

102

Georgia

96

96

b

167

161

6

223

203

20

230

205

26

Maryland

46

46

b

75

70

5

101

96

5

104

98

6

North Carolina

106

106

b

195

191

4

275

244

31

282

247

36

South Carolina

59

59

b

105

105

b

146

130

16

149

128

21

Virginia

77

76

1

133

130

3

179

159

20

184

159

25

West Virginia

44

41

3

67

64

3

90

80

11

92

80

12

East South Central

287

286

1

498

482

16

689

607

82

708

607

101

Alabama

74

74

b

128

119

9

188

158

30

194

157

37

Kentucky

75

74

1

132

128

4

178

161

17

183

162

20

Mississippi

53

53

b

89

88

b

117

110

8

120

110

10

Tennessee

85

85

b

149

146

3

206

179

27

212

178

34

West South Central

317

317

b

541

492

50

787

698

89

823

711

112

Arkansas

48

48

b

80

78

2

113

101

12

117

101

16

Louisiana

71

71

b

104

92

12

133

118

15

138

120

18

Oklahoma

39

39

b

70

65

4

102

93

9

107

96

11

Texas

159

159

b

288

256

31

439

386

54

461

393

67

Mountain

148

147

1

286

240

46

413

324

89

426

327

99

Arizona

43

42

b

85

62

24

131

87

45

134

86

49

Colorado

34

34

1

65

53

11

81

66

16

84

67

17

Idaho

11

11

b

21

20

1

33

28

5

34

28

6

Montana

12

12

b

18

18

b

23

21

2

24

21

3

Nevada

13

13

b

31

24

7

48

38

9

49

39

10

New Mexico

19

19

b

34

31

3

51

44

6

53

46

7

Utah

13

13

b

24

23

b

36

30

5

38

31

7

Wyoming

4

4

b

8

8

b

10

10

b

11

10

b

Pacific

389

381

7

636

529

107

872

736

136

898

744

154

Alaska

3

3

b

7

7

b

11

11

b

11

11

b

California

290

283

7

464

378

86

619

522

97

637

528

109

Hawaii

9

9

b

15

14

1

21

18

3

21

18

3

Oregon

34

33

1

58

46

11

83

60

23

86

62

24

Washington

53

53

b

93

84

9

138

124

14

143

126

17

Unknown

2

2

b

1

1

b

1

1

b

b

b

b

Outlying areas

Puerto Rico

92

92

b

136

136

b

157

70

87

159

67

92

U.S. Virgin Islands

1

1

b

1

1

b

2

2

b

2

2

b

Other

b

b

b

2

2

b

3

3

b

3

3

b

Foreign countries

14

14

b

15

15

b

16

16

b

16

16

b

SOURCE: Centers for Medicare & Medicaid Services.

NOTES: Characterization of persons enrolled may differ slightly from that in other tables on enrollment, and in prior editions of this table, because of differences in sources and methodology.

Totals do not necessarily equal the sum of rounded components.

a. Represents beneficiaries of the 50 states and the District of Columbia and beneficiaries with unknown residence.

Table 8.B3c Medicare Part A (Hospital Insurance) and/or Part B (Supplementary Medical Insurance): Number of fee-for-service and managed care enrollees, by census division and state or other area, July 1, 1990–2008, selected years (in thousands)

Census division and state or area

1990

2000

2007

2008

Total

Fee for service

Managed care

Total

Fee for service

Managed care

Total

Fee for service

Managed care

Total

Fee for service

Managed care

Total

All areas

34,200

33,493

706

39,620

32,753

6,867

44,263

35,490

8,773

45,412

35,320

10,092

United States a

33,494

32,789

706

38,759

31,896

6,863

43,264

34,847

8,417

44,389

34,676

9,713

New England

1,889

1,874

15

2,120

1,714

405

2,261

1,954

308

2,315

1,954

361

Connecticut

469

467

2

514

409

105

537

480

57

549

470

79

Maine

183

183

b

217

214

2

247

240

7

253

239

14

Massachusetts

867

858

9

958

721

237

997

823

174

1,019

830

189

New Hampshire

137

137

b

170

167

3

204

198

7

212

201

11

Rhode Island

159

155

3

172

114

58

175

114

61

178

114

64

Vermont

75

74

b

89

89

b

102

100

2

105

102

3

Middle Atlantic

5,556

5,415

141

5,992

4,733

1,259

6,281

4,753

1,528

6,395

4,663

1,732

New Jersey

1,092

1,062

30

1,200

1,029

170

1,257

1,138

119

1,283

1,149

134

New York

2,508

2,427

82

2,699

2,206

494

2,841

2,148

693

2,891

2,109

782

Pennsylvania

1,956

1,926

30

2,093

1,498

595

2,184

1,468

716

2,221

1,405

816

East North Central

5,784

5,713

72

6,364

5,722

643

6,882

5,906

976

7,033

5,722

1,311

Illinois

1,534

1,509

24

1,630

1,443

187

1,741

1,596

145

1,775

1,610

164

Indiana

762

749

13

852

816

35

941

846

95

964

841

123

Michigan

1,233

1,231

1

1,401

1,320

80

1,541

1,302

239

1,580

1,234

346

Ohio

1,543

1,520

23

1,699

1,405

295

1,805

1,482

323

1,841

1,376

465

Wisconsin

714

703

10

783

737

46

854

679

175

874

661

213

West North Central

2,635

2,560

75

2,857

2,576

281

3,089

2,583

506

3,149

2,566

584

Iowa

457

446

11

476

459

17

500

442

58

506

446

60

Kansas

363

359

5

390

360

30

412

380

32

418

379

39

Minnesota

588

544

44

654

566

88

729

510

219

749

493

256

Missouri

781

767

14

861

727

133

946

791

156

966

789

177

Nebraska

237

237

1

253

243

11

268

242

26

271

241

31

North Dakota

98

98

1

103

102

1

105

98

7

107

98

8

South Dakota

110

110

b

119

119

1

129

121

8

132

119

13

South Atlantic

6,142

6,077

65

7,512

6,508

1,004

8,644

7,251

1,393

8,905

7,283

1,622

Delaware

88

88

b

112

107

5

136

132

4

141

135

6

District of Columbia

78

75

3

75

68

7

74

68

6

75

68

8

Florida

2,339

2,323

16

2,823

2,068

754

3,133

2,356

776

3,212

2,344

868

Georgia

732

731

b

918

863

56

1,111

992

119

1,153

1,004

149

Maryland

541

538

4

646

574

72

723

679

44

745

691

54

North Carolina

892

890

2

1,136

1,088

48

1,359

1,164

195

1,405

1,178

226

South Carolina

442

441

b

570

568

2

697

626

71

724

627

97

Virginia

722

712

10

895

860

35

1,045

941

104

1,079

947

132

West Virginia

308

277

30

337

312

26

367

293

74

373

290

83

East South Central

2,173

2,153

20

2,559

2,411

147

2,944

2,538

407

3,021

2,523

498

Alabama

582

577

5

686

626

60

789

672

118

809

656

153

Kentucky

534

521

12

623

588

35

711

629

82

728

629

100

Mississippi

366

366

b

419

413

6

469

435

34

479

438

41

Tennessee

692

689

3

831

784

47

975

802

173

1,004

799

205

West South Central

3,196

3,192

5

3,817

3,246

571

4,409

3,776

633

4,545

3,795

750

Arkansas

391

390

1

439

420

19

496

447

50

509

446

62

Louisiana

531

531

b

601

496

105

639

527

113

656

522

134

Oklahoma

451

450

1

508

453

54

565

497

69

578

501

78

Texas

1,824

1,821

2

2,269

1,876

393

2,708

2,306

402

2,802

2,326

476

Mountain

1,637

1,599

39

2,200

1,640

560

2,692

1,949

743

2,788

1,970

819

Arizona

498

478

20

681

433

248

841

549

291

870

557

313

Colorado

358

346

12

468

306

162

558

386

173

579

393

186

Idaho

132

131

1

166

149

17

207

163

44

214

161

53

Montana

117

117

b

137

136

1

156

137

19

160

136

24

Nevada

141

140

1

243

163

80

318

223

95

330

230

100

New Mexico

179

177

2

234

190

44

285

223

62

294

227

67

Utah

160

157

2

206

199

7

254

197

57

264

192

72

Wyoming

52

51

b

65

64

2

74

71

3

76

72

4

Pacific

4,469

4,195

275

5,328

3,337

1,991

6,055

4,133

1,923

6,233

4,197

2,036

Alaska

25

25

b

42

42

b

57

56

b

60

59

1

California

3,279

3,033

245

3,894

2,325

1,569

4,369

2,912

1,457

4,492

2,962

1,530

Hawaii

127

123

4

165

111

54

189

121

68

194

122

72

Oregon

424

404

19

491

307

184

567

343

224

584

349

235

Washington

615

609

6

736

553

183

873

700

173

903

704

199

Unknown

12

12

b

10

9

1

5

4

b

4

4

b

Outlying areas

Puerto Rico

429

429

b

537

536

1

623

271

352

637

262

375

U.S. Virgin Islands

7

7

b

10

10

b

14

14

b

15

14

b

Other

b

b

b

11

11

b

16

15

b

16

16

b

Foreign countries

269

268

b

303

300

3

347

344

3

355

352

3

SOURCE: Centers for Medicare & Medicaid Services.

NOTES: Characterization of persons enrolled may differ slightly from that in other tables on enrollment because of differences in sources and methodology.

Totals do not necessarily equal the sum of rounded components.

a. Represents beneficiaries of the 50 states and the District of Columbia and beneficiaries with unknown residence.

Table 8.B4 Medicare Part A (Hospital Insurance) and/or Part B (Supplementary Medical Insurance): Number of enrollees aged 65 or older, by program, age, sex, and race, July 1, 1990–2008, selected years (in thousands)

Age, sex, and race

1990

2000

2008

Total

Fee for service

Managed care

Total

Fee for service

Managed care

Total

Fee for service

Managed care

Hospital Insurance and/or Supplementary Medical Insurance

Total

30,939

30,255

684

34,247

27,840

6,407

37,896

28,961

8,935

Age

65–69

9,690

9,514

176

9,166

7,360

1,806

11,190

8,670

2,521

70–74

7,951

7,752

200

8,609

6,878

1,731

8,694

6,512

2,182

75–79

6,058

5,904

155

7,284

5,902

1,381

7,154

5,326

1,827

80–84

3,957

3,864

93

4,868

4,010

859

5,590

4,266

1,325

85 or older

3,282

3,221

61

4,320

3,690

630

5,268

4,187

1,080

Sex

Men

12,412

12,132

280

14,109

11,421

2,688

16,254

12,497

3,757

Women

18,528

18,123

404

20,138

16,419

3,719

21,642

16,464

5,177

Race

White

26,847

26,251

596

29,752

24,251

5,502

32,303

24,915

7,388

Black

--

--

--

2,720

2,204

516

3,142

2,251

892

All other races a

3,113

3,050

63

1,682

1,305

377

2,395

1,747

649

American Indian or Alaska Native

--

--

--

42

39

3

134

118

16

Asian or Pacific Islander

--

--

--

494

386

108

761

588

173

Hispanic

--

--

--

710

555

155

828

561

268

Other

--

--

--

436

324

112

672

480

192

Unknown

979

953

26

92

81

12

55

48

7

Hospital Insurance

Total

30,455

29,778

678

33,827

27,429

6,398

37,552

28,624

8,928

Age

65–69

9,560

9,386

174

9,074

7,269

1,804

11,105

8,586

2,519

70–74

7,829

7,631

198

8,505

6,776

1,729

8,619

6,438

2,180

75–79

5,947

5,793

153

7,188

5,809

1,379

7,087

5,261

1,826

80–84

3,872

3,780

92

4,805

3,947

857

5,533

4,210

1,323

85 or older

3,248

3,188

60

4,256

3,627

629

5,208

4,129

1,079

Sex

Men

12,276

11,998

278

13,976

11,291

2,685

16,142

12,387

3,755

Women

18,179

17,779

400

19,851

16,138

3,713

21,410

16,236

5,173

Race

White

26,583

25,991

592

29,565

24,068

5,497

32,166

24,783

7,383

Black

--

--

--

2,668

2,153

515

3,100

2,209

890

All other races a

2,930

2,870

60

1,508

1,133

374

2,234

1,586

648

American Indian or Alaska Native

--

--

--

40

37

3

130

114

16

Asian or Pacific Islander

--

--

--

406

300

106

676

504

173

Hispanic

--

--

--

656

502

154

778

511

267

Other

--

--

--

405

294

111

649

458

191

Unknown

942

916

26

87

75

12

52

45

7

Supplementary Medical Insurance

Total

29,678

28,993

684

32,585

26,178

6,407

35,364

26,430

8,934

Age

65–69

9,003

8,827

176

8,330

6,525

1,806

9,713

7,193

2,521

70–74

7,740

7,540

200

8,256

6,525

1,731

8,240

6,058

2,181

75–79

5,942

5,787

155

7,087

5,705

1,381

6,918

5,091

1,827

80–84

3,879

3,786

93

4,780

3,922

859

5,454

4,129

1,325

85 or older

3,114

3,054

61

4,131

3,501

630

5,039

3,959

1,080

Sex

Men

11,754

11,474

280

13,203

10,515

2,688

14,855

11,098

3,757

Women

17,923

17,519

404

19,382

15,663

3,719

20,509

15,332

5,177

Race

White

25,842

25,247

596

28,428

22,927

5,502

30,294

22,907

7,387

Black

--

--

--

2,543

2,027

516

2,900

2,009

891

All other races a

2,909

2,846

63

1,542

1,164

377

2,136

1,487

648

American Indian or Alaska Native

--

--

--

39

36

3

120

104

16

Asian or Pacific Islander

--

--

--

470

362

108

695

522

173

Hispanic

--

--

--

665

510

155

756

488

268

Other

--

--

--

368

257

112

565

373

192

Unknown

927

900

26

71

60

12

35

28

7

SOURCE: Centers for Medicare & Medicaid Services.

NOTES: Characterization of beneficiaries as to Medicare status and demographic categories may differ from that in other tables on enrollment, and in prior editions of this table, because of differences in sources and methodology.

Totals do not necessarily equal the sum of rounded components.

-- = not available.

a. Prior to 2000, black enrollees and members of other races were combined into “All other races.” In 1994, the Health Care Financing Administration expanded the race codes to include Hispanic, Asian or Pacific Islander, and American Indian or Alaska Native. There were a number of efforts during the 1990s to populate these codes and identify persons coded as “Unknown.” Consequently for 2000 and later, blacks are broken out separately from “All other races” and the detail for that category is shown.

Table 8.B5 Medicare Part A (Hospital Insurance) and/or Part B (Supplementary Medical Insurance): Number of enrollees under age 65 who are disabled or have end-stage renal disease (ESRD), by program, age, sex, and race, July 1, 1990–2008, selected years (in thousands)

Age, sex, and race

1990

2000

2008

Total

Fee for service

Managed care

Total

Fee for service

Managed care

Total

Fee for service

Managed care

Hospital Insurance and/or Supplementary Medical Insurance

Total

3,260

3,238

22

5,373

4,913

460

7,516

6,359

1,157

Age

Under 35

483

482

1

522

505

18

656

604

53

35–44

655

652

3

1,130

1,068

62

1,169

1,039

130

45–54

741

737

4

1,627

1,501

126

2,352

2,018

334

55–64

1,381

1,367

13

2,094

1,840

254

3,338

2,698

641

Sex

Men

2,045

2,032

14

3,017

2,772

245

3,957

3,393

564

Women

1,215

1,207

8

2,356

2,141

215

3,559

2,966

593

Race

White

2,485

2,467

18

3,994

3,641

353

5,475

4,640

835

Black

--

--

--

1,008

933

74

1,442

1,226

216

All other races a

713

710

3

356

327

32

583

478

105

American Indian or Alaska Native

--

--

--

23

22

1

61

56

4

Asian or Pacific Islander

--

--

--

41

38

4

86

75

11

Hispanic

--

--

--

201

182

19

293

229

64

Other

--

--

--

90

83

7

144

118

26

Unknown

62

62

1

15

14

1

15

14

2

Hospital Insurance

Total

3,260

3,238

22

5,372

4,913

460

7,515

6,358

1,157

Age

Under 35

483

482

1

522

504

18

656

603

53

35–44

655

652

3

1,129

1,068

62

1,169

1,039

130

45–54

741

737

4

1,627

1,501

126

2,352

2,018

334

55–64

1,381

1,367

13

2,093

1,840

254

3,338

2,697

641

Sex

Men

2,045

2,032

14

3,017

2,772

245

3,957

3,393

564

Women

1,215

1,206

8

2,356

2,141

215

3,558

2,966

593

Race

White

2,485

2,467

18

3,994

3,641

353

5,475

4,640

835

Black

--

--

--

1,008

933

74

1,442

1,226

216

All other races a

713

710

3

356

325

31

583

478

105

American Indian or Alaska Native

--

--

--

23

22

1

61

56

4

Asian or Pacific Islander

--

--

--

41

38

4

86

75

11

Hispanic

--

--

--

201

182

19

293

229

64

Other

--

--

--

90

83

7

144

118

26

Unknown

62

61

1

15

14

1

15

14

2

Supplementary Medical Insurance

Total

2,948

2,926

22

4,775

4,315

460

6,655

5,498

1,157

Age

Under 35

442

440

1

467

449

18

592

539

53

35–44

587

584

3

998

937

62

1,030

900

130

45–54

666

662

4

1,422

1,296

126

2,072

1,739

334

55–64

1,253

1,240

13

1,887

1,633

254

2,961

2,321

640

Sex

Men

1,836

1,822

14

2,667

2,423

245

3,466

2,902

564

Women

1,112

1,104

8

2,107

1,892

215

3,189

2,597

593

Race

White

2,241

2,222

18

3,539

3,186

353

4,831

3,996

835

Black

--

--

--

918

843

74

1,304

1,088

216

All other races a

651

648

3

305

274

31

508

403

105

American Indian or Alaska Native

--

--

--

21

20

1

54

50

4

Asian or Pacific Islander

--

--

--

36

33

4

75

64

11

Hispanic

--

--

--

176

157

19

259

195

64

Other

--

--

--

71

64

7

119

94

26

Unknown

57

56

1

13

12

1

13

11

2

SOURCE: Centers for Medicare & Medicaid Services.

NOTES: Characterization of beneficiaries as to Medicare status and demographic categories may differ from that in other tables on enrollment, and in prior editions of this table, because of differences in sources and methodology.

Totals do not necessarily equal the sum of rounded components.

-- = not available.

a. Prior to 2000, black enrollees and members of other races were combined into “All other races.” In 1994, the Health Care Financing Administration expanded the race codes to include Hispanic, Asian or Pacific Islander, and American Indian or Alaska Native. There were a number of efforts during the 1990s to populate these codes and identify persons coded as “Unknown.” Consequently for 2000 and later, blacks are broken out separately from “All other races” and the detail for that category is shown.

Table 8.B5.1 Medicare Part A (Hospital Insurance) and/or Part B (Supplementary Medical Insurance): Home health agency covered visits and program payments, by census division and state or other area, selected years 1990–2007

Census division and state or area

1990

2000

2007

Total visits (thousands)

Program payments (thousands of dollars)

Program payments per visit (dollars)

Total visits (thousands)

Program payments (thousands of dollars)

Program payments per visit (dollars)

Total visits (thousands)

Program payments (thousands of dollars)

Program payments per visit (dollars)

Total

All areas

70,268

3,713,652

53

90,566

7,215,958

80

114,654

15,565,441

136

United States

69,645

3,687,770

53

87,641

6,995,748

80

113,044

15,324,031

136

New England

4,716

243,462

52

6,953

511,226

74

6,262

859,056

137

Connecticut

1,062

56,806

53

1,696

120,602

71

1,675

214,685

128

Maine

380

19,900

52

664

47,095

71

468

66,079

141

Massachusetts

2,403

121,472

51

3,328

253,132

76

3,055

433,113

142

New Hampshire

292

15,274

52

504

36,257

72

480

67,646

141

Rhode Island

315

17,537

56

393

32,720

83

265

39,669

150

Vermont

264

12,473

47

368

21,418

58

318

37,863

119

Middle Atlantic

8,570

504,379

59

12,446

1,066,579

86

11,567

1,608,234

139

New Jersey

1,435

71,239

50

2,274

203,145

89

2,057

338,844

165

New York

2,867

193,812

68

5,983

510,094

85

6,140

760,625

124

Pennsylvania

4,269

239,329

56

4,190

353,341

84

3,370

508,766

151

East North Central

8,864

488,161

55

11,615

996,673

86

14,237

2,285,740

161

Illinois

2,695

152,406

57

3,112

278,001

89

4,403

805,178

183

Indiana

1,112

56,613

51

1,464

112,768

77

1,730

235,224

136

Michigan

2,157

128,251

59

3,436

311,343

91

3,799

654,804

172

Ohio

2,082

108,602

52

2,713

223,430

82

3,497

474,389

136

Wisconsin

817

42,289

52

891

71,131

80

808

116,145

144

West North Central

3,591

182,775

51

3,884

297,355

77

3,744

533,936

143

Iowa

490

20,609

42

602

39,847

66

529

63,752

121

Kansas

463

22,023

49

515

38,056

74

598

81,903

137

Minnesota

380

20,168

53

525

40,350

77

617

94,632

153

Missouri

1,809

96,011

53

1,651

134,144

81

1,543

227,727

148

Nebraska

283

15,169

54

318

25,063

79

277

41,766

151

North Dakota

104

4,979

48

140

9,814

70

90

10,966

122

South Dakota

71

3,816

54

134

10,083

75

89

13,190

148

South Atlantic

15,504

792,155

51

17,603

1,434,967

82

29,258

3,413,145

117

Delaware

195

9,033

46

222

18,759

85

222

35,154

158

District of Columbia

129

8,552

66

154

13,859

90

132

22,277

169

Florida

7,513

371,331

49

7,032

576,519

82

19,872

1,942,601

98

Georgia

2,647

120,132

45

2,568

197,327

77

2,267

339,306

150

Maryland

863

52,659

61

1,046

95,980

92

969

168,947

174

North Carolina

1,659

93,205

56

2,533

209,226

83

2,227

354,324

159

South Carolina

694

41,712

60

1,412

118,278

84

1,149

190,391

166

Virginia

1,277

70,498

55

2,030

157,804

78

1,975

292,241

148

West Virginia

528

25,033

47

606

47,215

78

445

67,904

153

East South Central

11,432

501,015

44

10,424

708,458

68

8,795

1,209,809

138

Alabama

2,792

111,655

40

2,466

163,019

66

2,171

291,476

134

Kentucky

1,202

56,717

47

1,916

135,941

71

1,631

226,142

139

Mississippi

2,777

108,559

39

2,514

159,346

63

1,894

258,444

136

Tennessee

4,661

224,084

48

3,529

250,152

71

3,099

433,747

140

West South Central

9,063

445,067

49

15,305

1,062,985

69

27,091

3,447,276

127

Arkansas

1,072

47,907

45

1,103

70,205

64

1,207

134,319

111

Louisiana

2,286

106,074

46

4,081

261,901

64

4,022

505,251

126

Oklahoma

1,153

57,990

50

2,354

149,916

64

3,284

367,513

112

Texas

4,553

233,095

51

7,767

580,964

75

18,579

2,440,193

131

Mountain

2,485

139,038

56

3,188

257,608

81

3,740

530,145

142

Arizona

568

33,529

59

497

43,124

87

549

93,886

171

Colorado

595

35,779

60

725

59,239

82

714

106,850

150

Idaho

153

8,904

58

258

22,771

88

316

42,783

135

Montana

195

9,825

50

208

16,200

78

144

21,398

149

Nevada

218

13,279

61

309

27,152

88

552

93,031

169

New Mexico

256

13,328

52

390

30,327

78

493

67,047

136

Utah

447

21,573

48

680

50,606

74

887

94,012

106

Wyoming

53

2,820

53

120

8,190

68

85

11,137

131

Pacific

5,419

391,717

72

6,222

659,896

106

8,351

1,436,690

172

Alaska

14

1,404

100

39

5,145

132

52

9,314

179

California

4,237

310,835

73

5,031

529,250

105

7,106

1,195,764

168

Hawaii

57

4,241

74

84

8,980

107

55

11,234

204

Oregon

417

29,872

72

399

45,225

113

394

74,425

189

Washington

693

45,365

65

669

71,296

107

743

145,953

196

Outlying areas a

622

25,882

42

2,926

220,210

75

1,610

241,410

150

SOURCE: Centers for Medicare & Medicaid Services.

NOTES: Medicare program payments represent fee-for-service only and exclude amounts paid for managed care services. With the implementation of the home health agency prospective payment system, beginning October 1, 2000, program payments are now associated with episodes and not with individual visits.

Table 8.B8.2 Medicare Part A (Hospital Insurance): Short-stay hospital discharges, days of covered care per discharge, and program payments, by census division and state or other area, selected years 1990–2007

Table 8.B8.3 Medicare Part A (Hospital Insurance): Skilled nursing facility covered admissions and program payments, by census division and state or other area, selected years 1990–2007

Census division and state or area

1990

2000

2007

Covered admissions a

Program payments (thousands of dollars)

Program payments per admission (dollars) b

Covered admissions a

Program payments (thousands of dollars)

Program payments per admission (dollars) b

Covered admissions a

Program payments (thousands of dollars)

Program payments per admission (dollars) b

Total

All areas

737,700

1,827,190

2,509

1,936,127

10,651,274

5,511

2,533,016

22,189,390

8,766

United States

736,466

1,824,011

2,509

1,932,134

10,635,515

5,514

2,530,913

22,176,059

8,768

New England

30,180

69,422

2,321

137,383

849,428

6,194

176,482

1,670,063

9,465

Connecticut

10,912

26,387

2,423

34,452

254,218

7,387

48,923

496,392

10,148

Maine

1,377

5,178

3,763

13,391

66,702

4,983

16,964

141,154

8,321

Massachusetts

11,733

26,107

2,267

64,946

389,016

6,003

79,791

754,865

9,461

New Hampshire

1,443

2,803

1,953

10,243

59,904

5,859

14,908

139,830

9,388

Rhode Island

3,685

7,472

2,037

9,452

54,095

5,757

9,731

80,800

8,305

Vermont

1,030

1,476

1,437

4,899

25,492

5,207

6,165

57,021

9,249

Middle Atlantic

97,503

254,554

2,642

290,974

1,937,835

6,677

389,225

3,445,713

8,855

New Jersey

10,725

27,797

2,599

68,638

412,488

6,014

111,773

1,028,103

9,199

New York

37,454

95,175

2,587

110,292

931,412

8,465

150,922

1,410,657

9,348

Pennsylvania

49,324

131,582

2,692

112,044

593,935

5,322

126,530

1,006,952

7,963

East North Central

142,252

323,800

2,305

374,369

2,014,281

5,382

499,732

4,362,645

8,741

Illinois

40,758

117,390

2,902

104,203

515,307

4,946

146,036

1,216,870

8,341

Indiana

22,093

61,858

2,844

59,020

330,466

5,600

69,890

653,971

9,371

Michigan

27,324

46,583

1,730

57,347

374,014

6,526

83,186

770,880

9,302

Ohio

33,115

61,462

1,894

107,475

555,817

5,173

147,404

1,227,266

8,326

Wisconsin

18,962

36,507

1,935

46,324

238,678

5,153

53,216

493,658

9,286

West North Central

95,732

209,517

2,206

190,486

756,598

3,973

226,116

1,653,388

7,318

Iowa

13,613

33,630

2,483

33,702

110,449

3,277

40,355

248,465

6,160

Kansas

12,712

24,259

1,919

27,334

99,927

3,657

32,995

246,276

7,470

Minnesota

28,729

54,696

1,926

42,888

199,933

4,662

46,143

359,815

7,799

Missouri

26,942

74,044

2,764

50,515

216,975

4,297

65,475

496,230

7,589

Nebraska

6,988

14,623

2,100

18,766

71,141

3,793

22,229

177,132

7,983

North Dakota

4,203

4,823

1,177

7,790

23,998

3,081

8,575

52,045

6,071

South Dakota

2,545

3,441

1,356

9,491

34,175

3,603

10,344

73,425

7,098

South Atlantic

97,746

221,593

2,304

351,271

1,962,427

5,597

483,353

4,268,105

8,832

Delaware

1,136

2,298

2,057

4,938

31,158

6,319

8,211

70,881

8,634

District of Columbia

1,118

3,635

3,283

3,745

23,113

6,175

5,008

46,104

9,252

Florida

46,617

114,361

2,504

139,057

813,328

5,866

181,463

1,727,208

9,519

Georgia

12,065

21,913

1,836

36,847

195,450

5,309

51,753

425,352

8,222

Maryland

8,450

19,625

2,344

38,562

194,644

5,065

55,184

452,782

8,208

North Carolina

12,138

21,391

1,776

50,008

270,927

5,422

70,381

600,047

8,526

South Carolina

4,787

9,645

2,127

24,069

130,669

5,430

31,461

286,649

9,113

Virginia

7,393

17,995

2,443

36,536

217,418

5,952

60,563

509,075

8,408

West Virginia

4,042

10,731

2,679

17,509

85,720

4,897

19,329

150,007

7,762

East South Central

41,228

74,764

1,842

131,017

665,240

5,081

172,750

1,420,212

8,223

Alabama

11,934

20,172

1,716

29,268

164,159

5,614

41,310

322,935

7,821

Kentucky

9,029

20,697

2,319

35,891

167,196

4,659

45,777

361,934

7,907

Mississippi

5,850

7,897

1,381

20,560

95,372

4,648

29,125

248,482

8,534

Tennessee

14,415

25,998

1,833

45,298

238,514

5,267

56,538

486,862

8,613

West South Central

62,302

173,258

2,809

183,161

869,345

4,757

249,150

2,004,239

8,053

Arkansas

6,254

13,455

2,167

22,862

83,236

3,644

29,890

191,514

6,412

Louisiana

12,244

42,336

3,488

27,165

120,360

4,433

35,595

270,142

7,594

Oklahoma

7,065

20,642

2,928

26,004

105,867

4,072

30,939

212,886

6,886

Texas

36,739

96,824

2,669

107,130

559,882

5,245

152,726

1,329,697

8,718

Mountain

43,063

105,189

2,467

87,157

435,051

5,004

101,600

890,290

8,773

Arizona

12,521

30,667

2,463

20,256

95,244

4,742

22,784

184,070

8,082

Colorado

10,220

29,480

2,928

18,993

99,687

5,256

25,627

237,423

9,296

Idaho

3,569

6,819

1,918

10,396

50,995

4,909

9,504

86,375

9,093

Montana

4,483

6,780

1,527

9,410

36,201

3,847

9,850

70,772

7,186

Nevada

2,173

7,202

3,328

6,348

37,209

5,867

8,649

96,696

11,187

New Mexico

2,494

7,687

3,250

6,130

31,929

5,213

8,247

69,076

8,381

Utah

6,081

14,452

2,378

11,672

65,662

5,627

12,127

107,154

8,837

Wyoming

1,522

2,102

1,388

3,952

18,123

4,586

4,812

38,725

8,064

Pacific

126,460

391,915

3,155

186,316

1,145,310

6,174

232,505

2,461,404

10,591

Alaska

320

1,182

3,705

991

6,406

6,477

1,111

14,457

13,024

California

101,886

325,664

3,234

137,485

875,847

6,395

172,382

1,880,961

10,916

Hawaii

1,122

3,421

3,831

2,173

14,886

6,898

3,197

31,319

9,796

Oregon

8,869

26,399

3,111

13,964

67,421

4,844

16,552

146,935

8,878

Washington

14,263

35,249

2,551

31,703

180,749

5,742

39,263

387,731

9,881

Outlying areas c

1,234

3,179

2,593

3,993

15,760

3,948

2,103

13,331

6,348

SOURCE: Centers for Medicare & Medicaid Services.

NOTES: Medicare program payments represent fee-for-service only and exclude amounts paid for managed care services. Swing-bed hospital services are included in the total use and cost of Medicare skilled nursing facility services.

Totals do not necessarily equal the sum of rounded components.

a. Includes skilled nursing facility admissions with at least one day of covered care under Medicare.

b. Includes only covered admission bills with Medicare reimbursement greater than zero.

Table 8.B11.1 Medicare Part B (Supplementary Medical Insurance): Physician/supplier covered services, allowed charges, and program payments, by census division and state or other area, selected years 1993–2007

Table 8.B14 Medicare Part D: Number of enrollees by Part D status, census division, state, or other area, July 1, 2007

Census division and state or area a

Total Medicare enrollees

Medicare Part D

Retiree drug subsidy (RDS) b

Other creditable coverage c (no Part D plan or RDS)

No Part D plan, RDS, or other creditable coverage

Total

Full low-income subsidy d

Partial low-income subsidy e

No low-income subsidy

Total

All areas

44,263,111

24,477,276

9,104,834

412,860

14,959,582

7,009,702

5,722,328

7,053,805

United States

43,259,280

24,067,358

9,089,677

412,607

14,565,074

6,980,458

5,654,472

6,556,992

New England

2,261,294

1,212,522

512,480

18,429

681,613

406,161

283,597

359,014

Connecticut

537,064

280,383

98,704

3,355

178,324

116,899

62,004

77,778

Maine

246,571

136,084

80,127

888

55,069

24,590

39,401

46,496

Massachusetts

996,741

539,887

235,464

9,126

295,297

195,978

108,780

152,096

New Hampshire

204,313

88,834

32,077

2,189

54,568

37,807

34,386

43,286

Rhode Island

175,012

113,066

39,550

2,202

71,314

12,788

24,995

24,163

Vermont

101,593

54,268

26,558

669

27,041

18,099

14,031

15,195

Middle Atlantic

6,281,289

3,420,971

1,302,795

53,440

2,064,736

1,197,049

690,383

972,886

New Jersey

1,257,125

629,950

213,931

12,968

403,051

288,197

138,639

200,339

New York

2,840,560

1,520,171

709,414

19,683

791,074

583,375

285,665

451,349

Pennsylvania

2,183,604

1,270,850

379,450

20,789

870,611

325,477

266,079

321,198

East North Central

6,881,981

3,386,127

1,205,475

61,550

2,119,102

1,703,155

705,681

1,087,018

Illinois

1,740,751

935,831

338,064

17,208

580,559

355,679

183,620

265,621

Indiana

940,825

474,806

163,231

10,990

300,585

201,993

114,885

149,141

Michigan

1,540,827

711,531

259,462

13,901

438,168

473,994

126,740

228,562

Ohio

1,805,235

854,454

307,136

15,881

531,437

529,629

179,075

242,077

Wisconsin

854,343

409,505

137,582

3,570

268,353

141,860

101,361

201,617

West North Central

3,089,440

1,915,088

534,402

30,347

1,350,339

332,672

428,828

412,852

Iowa

500,056

320,445

78,791

4,949

236,705

56,828

65,607

57,176

Kansas

411,660

241,316

64,402

4,373

172,541

33,364

67,082

69,898

Minnesota

729,147

470,898

122,833

5,390

342,675

81,501

85,727

91,021

Missouri

946,284

556,831

188,980

10,051

357,800

123,758

129,237

136,458

Nebraska

267,588

168,887

41,971

2,702

124,214

25,289

42,074

31,338

North Dakota

105,324

72,877

16,552

1,433

54,892

5,055

15,677

11,715

South Dakota

129,381

83,834

20,873

1,449

61,512

6,877

23,424

15,246

South Atlantic

8,644,415

4,624,891

1,768,928

94,412

2,761,551

1,324,354

1,362,693

1,332,477

Delaware

136,206

65,310

23,191

1,173

40,946

34,343

18,050

18,503

District of Columbia

74,085

32,848

20,420

416

12,012

4,198

19,354

17,685

Florida

3,132,634

1,748,430

571,452

24,262

1,152,716

477,034

447,291

459,879

Georgia

1,110,510

629,399

277,930

13,629

337,840

132,277

172,997

175,837

Maryland

723,302

295,735

116,246

6,715

172,774

153,130

140,540

133,897

North Carolina

1,358,548

768,815

324,530

20,500

423,785

223,474

177,110

189,149

South Carolina

697,189

360,048

163,508

9,925

186,615

119,943

116,730

100,468

Virginia

1,044,603

510,578

189,369

12,474

308,735

122,551

223,016

188,458

West Virginia

367,338

213,728

82,282

5,318

126,128

57,404

47,605

48,601

East South Central

2,944,432

1,698,032

828,189

39,749

830,094

413,864

421,354

411,182

Alabama

789,250

431,044

212,728

10,446

207,870

129,164

126,524

102,518

Kentucky

710,977

383,304

183,807

10,971

188,526

130,334

90,659

106,680

Mississippi

469,402

293,841

157,699

5,710

130,432

30,537

75,604

69,420

Tennessee

974,803

589,843

273,955

12,622

303,266

123,829

128,567

132,564

West South Central

4,409,142

2,443,539

1,072,807

55,499

1,315,233

624,921

652,920

687,762

Arkansas

496,335

287,445

126,950

7,601

152,894

52,448

84,132

72,310

Louisiana

639,499

369,584

179,826

8,199

181,559

92,121

75,925

101,869

Oklahoma

565,079

320,591

116,842

6,923

196,826

53,888

93,201

97,399

Texas

2,708,229

1,465,919

649,189

32,776

783,954

426,464

399,662

416,184

Mountain

2,691,896

1,501,714

443,692

22,802

1,035,220

351,108

425,388

413,686

Arizona

840,527

490,580

147,039

5,848

337,693

109,565

122,131

118,251

Colorado

558,222

315,158

87,889

4,661

222,608

78,626

84,666

79,772

Idaho

206,570

112,497

33,165

2,275

77,057

24,564

33,606

35,903

Montana

155,753

86,403

23,762

1,930

60,711

15,433

26,256

27,661

Nevada

317,741

171,743

44,640

2,650

124,453

42,432

54,271

49,295

New Mexico

284,910

154,537

64,339

2,771

87,427

40,032

44,884

45,457

Utah

254,060

131,289

32,534

1,944

96,811

32,592

45,648

44,531

Wyoming

74,113

39,507

10,324

723

28,460

7,864

13,926

12,816

Pacific

6,055,391

3,864,474

1,420,909

36,379

2,407,186

627,174

683,628

880,115

Alaska

56,803

22,525

14,003

321

8,201

13,893

9,828

10,557

California

4,368,858

2,933,560

1,137,148

22,907

1,773,505

438,520

424,438

572,340

Hawaii

189,385

119,713

33,979

1,495

84,239

8,364

30,984

30,324

Oregon

566,960

349,047

90,327

5,420

253,300

48,319

77,377

92,217

Washington

873,385

439,629

145,452

6,236

287,941

118,078

141,001

174,677

Outlying areas f

1,003,831

409,918

15,157

253

394,508

29,244

67,856

496,813

SOURCE: Centers for Medicare & Medicaid Services.

a. Based on the residence of the beneficiary.

b. RDS provides a Medicare subsidy to employers and unions who continue assisting their Medicare-eligible retirees with prescription drug coverage.

c. Creditable coverage is alternative prescription drug coverage in which the actuarial value of the coverage equals or exceeds the actuarial value of standard Medicare prescription drug coverage.

d. Individuals are automatically eligible for the full low-income subsidy (LIS) if they are dually eligible for Medicare and Medicaid benefits, enrolled in a Medicare savings program, or receiving Supplemental Security Income.

e. Individuals not automatically eligible for full LIS must apply for LIS coverage. Applicants may be found eligible for full or partial LIS, depending on their income and resources.